Derek Oldenburger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3511 Issued in ND

Practice address

1208 N Parkview Dr
Bismarck, ND 58501-1288

Phone

(701) 223-6519

NPI assigned

Sep 30, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid Dakota Clinic, Inc.

  • Clinic/Center
  • Bismarck, ND
  • NPI 1275587826
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1275867822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N PARKVIEW DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011288",
            "telephone_number": "701-223-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 N PARKVIEW DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011288",
            "telephone_number": "701-223-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDENBURGER",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Okoye, M.D
• David Olateju Oladele-Bankole, MD
• Teresa Olafson
• Kristi Olander
• Francis Dwight Old Rock Jr.
• Elisabeth Oldham, LCSW
• Katie Olerud, LAC
• Tara Olheiser, LAC
• Taylor Alexandria Olheiser, LAC
• Ciara Oliger, PA

• Internal Medicine Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Internal Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.